Cent Eur J Nurs Midw 2012, 3(4):475-483

The content validation of nursing diagnosis Deficient fluid volume

Renáta Zeleníková1,*, Katarína Žiaková2
1 Department of Nursing and Midwifery, Faculty of Medicine, Unviersity of Ostrava, Ostrava
2 Department of Nursing, Jessenius Medical Faculty in Martin, Comenius University in Bratislava, Slovakia

Aim: The aim of this study is to validate the defining characteristics of a nursing diagnosis of Deficient Fluid Volume by considering a selected sample of Slovak nurse - experts. In other words, to ascertain which defining characteristics are rated by these nurses as major or minor.

Methods: Fehring's Diagnostic Content Validation model (DCV model) was used for validation of this nursing diagnosis. Slovak nurses who met the modified criteria (4 points) recommended by Fehring comprised the sample of experts - a total of 116 Slovak nurses - experts. Defining characteristics were rated by the nurses using Likert's 5-point scale (1 - not at all characteristic, 2 - very little characteristic, 3 - somewhat characteristic, 4 - considerably characteristic, 5 - very characteristic). Data collection occurred between May and October 2010.

Results: Out of 17 defining characteristics of a nursing diagnosis of Deficient Fluid Volume, the Slovak nurses' sample classified six cues a s major: decreased skin turgor, decreased urine output, dry mucous membranes, decreased tongue turgor, decreased venous filling, and decreased blood pressure. The following cues were classified as minor defining characteristics: increased urine concentration, dry skin, elevated hematocrit, weakness, thirst, decreased pulse volume and pressure, increased pulse rate, changes in mental status, increased body temperature. The weighted score of the defining characteristic "sudden weight loss (except in the third space) was less than 0.5.

Conclusion: The Slovak nurses' sample studied considered six characteristics as important in justifying the nursing diagnosis Deficient Fluid Volume.

Keywords: nursing diagnosis, validation, Fehring's Diagnostic Content Validation model, Deficient Fluid Volume

Published: September 30, 2012  Show citation

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Zeleníková R, Žiaková K. The content validation of nursing diagnosis Deficient fluid volume. Ošetřovatelství a porodní asistence. 2012;3(4):475-483.
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